Rheumatic fever: nws yog dab tsi, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav kuaj li cas
• Yuav kho tus mob li cas
• Kev tiv thaiv mob rheumatic kub taub hau

Rheumatic kub taub hau yog ib tus kabmob autoimmune los ntawm qhov mob o ntawm ntau cov nqaij hauv lub cev, ua rau mob sib koom tes, tsos ntawm nodules nyob rau hauv daim tawv nqaij, teeb meem plawv, leeg tsis muaj zog thiab tsis tuaj yeem txav.

Rheumatic kub taub hau feem ntau tshwm sim tom qab kis mob thiab mob caj pas tsis kho kom zoo thiab tshwm sim los ntawm cov kab mob Cov kab mob Streptococcus pyogenesCov. Kev kis tus kab mob no muaj ntau rau cov menyuam yaus thiab cov tub ntxhais hluas txog hnub nyoog 15, tab sis nws tuaj yeem tshwm rau cov neeg tsis hais hnub nyoog li cas.

Yog li, thaum muaj cov cim thiab tsos mob ntawm pharyngitis thiab mob tonsillitis, nws raug nquahu kom kws kho mob thiaj li yuav kho tau kom tsim nyog kom zam dhau qhov kev mob tshwm sim los ntawm kev kis tus kab mob. Cov kab mob Streptococcus pyogenes.

Cov tsos mob tseem ceeb

Thaum cov kab mob sib kis Cov kab mob Streptococcus pyogenes tsis yog kho kom raug nrog kev siv tshuaj tua kab mob, raws li kev qhia los ntawm tus kws kho menyuam yaus lossis cov kws kho mob hauv tsev, cov tshuaj tiv thaiv ua rau cov tshuaj tiv thaiv tuaj yeem tawm tsam ntau yam kabmob hauv lub cev, xws li pob qij txha, lub siab, tawv nqaij thiab lub hlwb.

Yog li, ntxiv rau qhov ua npaws, uas tuaj yeem ncav cuag 39ºC, cov tsos mob tseem ceeb ntawm tus mob rheumatic yog:

• Cov tsos mob ua ke: mob thiab o ntawm cov pob qij txha, xws li hauv caug, lauj tshib, pob taws thiab dab teg, uas muaj tus qauv txav, qhov ntawd yog, qhov mob no tuaj yeem hloov ntawm ib qho sib koom mus rau lwm qhov, thiab tuaj yeem ntev txog 3 hlis;
• Cov tsos mob plawv: ua pa luv, nkees, mob hauv siab, hnoos, o ntawm ob txhais ceg thiab lub siab yws tuaj yeem tshwm sim vim yog txhaws ntawm lub qhov qub thiab cov leeg ntawm lub plawv;
• Cov tsos mob neurological: kev txav ntawm lub cev tsis xws luag, xws li tsa caj npab lossis txhais ceg yam tsis xav tau, cov kev puas siab ntsws ntawm lub hlwb tau paub tias yog chorea. Tej zaum kuj tseem muaj kev hloov pauv hloov zuj zus hauv kev xav, hais lus tsis meej thiab cov leeg tsis muaj zog;
• Cov tsos mob ntawm daim tawv nqaij: Cov hnoos qeev nyob rau hauv daim tawv nqaij los yog cov pob liab liab.

Cov tsos mob ntawm tus mob rheumatic feem ntau tshwm sim li ntawm 2 lub lis piam mus rau 6 hli tom qab kis tau los ntawm tus kab mob, thiab tuaj yeem mob mus txog ntau lub hlis, nyob ntawm kev kho kom raug thiab kev tiv thaiv ntawm txhua tus neeg. Txawm li cas los xij, yog tias qhov raug mob ua rau lub plawv mob hnyav heev, tus neeg tuaj yeem sab laug nrog sequelae hauv kev ua haujlwm mob plawv. Ntxiv rau, raws li cov tsos mob tuaj yeem tshwm sim hauv kev sib kis, txhua zaus cov mob tshwm sim mob tshwm sim lawv mob heev dua, ua rau tus neeg lub neej muaj kev pheej hmoo.

Yuav kuaj li cas

Kev txheeb xyuas tus mob rheumatic yog ua los ntawm cov kws kho mob feem ntau, tus kws kho mob Rheumatologist lossis tus kws kho menyuam yaus raws li muaj cov tsos mob tseem ceeb thiab kuaj lub cev ntawm tus neeg mob thiab ntawm qee qhov kuaj ntshav uas qhia tias muaj mob o, xws li ESR thiab CRP.

Ntxiv rau, qhov kuaj pom ntawm cov tshuaj tiv thaiv kab mob los tiv thaiv cov kab mob ntawm tus mob rheumatic yog tshawb nrhiav, uas kuaj pom los ntawm kev kuaj mob tawm ntawm lub qa thiab cov ntshav, xws li kev kuaj mob ASLO, uas yog qhov kev kuaj mob tseem ceeb kom paub tseeb tias muaj tus kab mob los ntawm tus kab mob thiab paub meej kev kuaj mob. Nkag siab txog qhov kev ntsuam xyuas ASLO tiav li cas.

Yuav kho tus mob li cas

Rheumatic kub taub hau tuaj yeem kho tau, thiab kev kho mob yog ua tiav nrog kev siv tshuaj tua kab mob, xws li Benzetacil, kws kho mob los ntawm kws kho menyuam yaus, kws kho mob rheumatologist lossis tus kws kho mob tawm tswv yim. Piv txwv li cov tsos mob ntawm tus mob hauv cov pob qij txha thiab lub siab tuaj yeem thim rov qab los so thiab siv cov tshuaj los tiv thaiv, xws li ibuprofen thiab prednisone, piv txwv.

Ua raws li qhov mob hnyav ntawm cov mob rheumatic, tus kws kho mob tuaj yeem qhia tias kev txhaj tshuaj intramuscular ntawm Benzetacil tau nqa nrog ib ncua sijhawm ntawm 21 hnub, uas tuaj yeem mus txog rau tus neeg lub hnub nyoog 25 xyoo nyob ntawm seb qhov mob puas tsuaj.

Kev tiv thaiv mob rheumatic kub taub hau

Kev tiv thaiv ntawm tus mob rheumatic yog qhov tseem ceeb heev los tiv thaiv kev loj hlob ntawm tus kab mob no thiab nws cov kabmob sib kis thiab, yog li ntawd, nws yog qhov tseem ceeb ntawm kev mob pharyngitis lossis tonsillitis los ntawm Streptococcus pyogenes, kev siv tshuaj tua kab mob yuav tsum tau ua raws li tus kws kho mob pom zoo, ua tseem ceeb ua cov kev kho mob tag nrho, txawm tias tsis muaj mob tshwm sim ntxiv.

Rau cov neeg uas muaj yam tsawg ib ntu mob rheumatic kub ib ce, nws yog ib qho tseem ceeb kom ua raws li kev kho mob nrog Benzetacil kev txhaj tshuaj tiv thaiv kom tsis txhob muaj mob tshwm sim thiab muaj qhov pheej hmoo loj dua rau cov nyom.